When my dear secretary of many years did not show up at her desk in the hospital at 7 am sharp as usual, I was ill at ease at once. It was distinctly unusual. When time passed and she did not call and could not be reached over her cell phone, I knew that something was very wrong.
Then the rumors started; it was something to do with her son. The emergency department was mentioned, an accident, and later, very ominously, there were whispers about neurosurgery. And still she could not be reached.
Schattner A. Shame and Blame in the Therapeutic Relationship. JAMA Intern Med. 2016;176(5):588-589. doi:10.1001/jamainternmed.2016.0610